Stakeholder Perspectives on Implementing a Police-Mental Health Collaborative to Improve Pathways to Treatment
AbstractHigh rates of criminal justice involvement among individuals with mental illness have led to collaborative efforts between law enforcement agencies and mental health providers to improve crisis responses and pathways to treatment. The development and implementation of these police-mental health collaborations (PMHCs) have received little attention in the literature, but these processes are crucial in understanding feasibility and sustainability. The PMHC discussed here is an interagency effort to identify individuals involved with law enforcement who have unmet behavioral health needs and engage them in services. P...
Source: The Journal of Behavioral Health Services and Research - January 9, 2022 Category: Psychiatry & Psychology Source Type: research

Development of the MIND: a Screening Measure Assessing Mental Health Treatment Needs
AbstractEarly identification and treatment of mental illness symptoms results in better outcomes, yet few screeners are available that can be efficiently used in community settings. The Mental Illness Needs Detection (MIND) Screener was developed to identify the need for mental health treatment and administered to 820 adults across the USA. Confirmatory factor analysis supported the internal consistency of the MIND. The MIND significantly correlated with the Kessler-10 (K10; a well-validated screener), reported mental illness, mental health treatment, and the need for treatment. The MIND ’s ability to accurately assess t...
Source: The Journal of Behavioral Health Services and Research - January 1, 2022 Category: Psychiatry & Psychology Source Type: research

Using the Theory of Planned Behavior to Predict Korean College Students ’ Help-Seeking Intention
AbstractWhen dealing with the mental health concerns of college students, access to professional mental health services is necessary to enable early identification and prevention of severe mental health issues. Accordingly, this study used the theory of planned behavior (TPB) as a theoretical framework to determine the predictors of help-seeking intentions among college students in Korea. The authors developed a TPB questionnaire to measure attitudes, subjective norms, behavioral control, and intentions for seeking help and subsequently validated it via the confirmatory factor analysis (CFA). The authors considered mental ...
Source: The Journal of Behavioral Health Services and Research - January 1, 2022 Category: Psychiatry & Psychology Source Type: research

Correction to: Using the Theory of Planned Behavior to Predict Korean College Students ’ Help-Seeking Intention
A Correction to this paper has been published:https://doi.org/10.1007/s11414-020-09744-y (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - January 1, 2022 Category: Psychiatry & Psychology Source Type: research

Community Adversity and Utilization of Psychotropic Medications Among Children in Foster Care
This study uses a cross-sectional design integrated foster care and Medicaid administrative data with data from Kids Count, the US Census, and the Area Health Resource File. There were 4,334 children ages 5 –18 in foster care in 2014. We usedK-means cluster analysis grouped state counties using indicators of school performance, juvenile justice involvement, and food insecurity. Chi-square tests assessed significance between psychotropic medication and community adversity cluster. A generalized linear mixed model assessed the relationship between psychotropic use and community adversity cluster, accounting for individual-...
Source: The Journal of Behavioral Health Services and Research - October 26, 2021 Category: Psychiatry & Psychology Source Type: research

The Critical Role of Health Information Technology in the Safe Integration of Behavioral Health and Primary Care to Improve Patient Care
AbstractIntegrated behavioral health and primary care is a set of related approaches to enhance care delivery, safety, and quality through closer collaboration and coordination among clinicians and care organizations in these two fields. Technology (e.g., electronic health records (EHR), telehealth, clinical decision support, and standards-based interoperability) can enable integration and improve delivery of care. Reinforcing these opportunities, virtual care and telehealth have dramatically changed care availability and delivery, especially during the COVID-19 pandemic. There are different levels of integration, ranging ...
Source: The Journal of Behavioral Health Services and Research - October 19, 2021 Category: Psychiatry & Psychology Source Type: research

Correction to: Integrated Behavioral Health for Preschool Children in Pediatric Primary Care
(Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - October 17, 2021 Category: Psychiatry & Psychology Source Type: research

Paths Toward Sustainable State and County Systems of Care
AbstractThe Substance Abuse and Mental Health Services Administration ’s Children’s Mental Health Initiative (CMHI) Cooperative Agreements support the development of children’s systems of care (SOCs). The National Evaluation of CMHI interviewed representatives from Mental Health Authorities (MHA) and Medicaid agencies in 25 state, county, and municipal jurisdict ions in the FY13 and FY14 grant cohorts in grant years 2 and 4. This paper analyzes funding for five services (wraparound planning; intensive care coordination; family peer support; youth peer support; and flexible funding) that are a core part of SOCs, and g...
Source: The Journal of Behavioral Health Services and Research - October 1, 2021 Category: Psychiatry & Psychology Source Type: research

Application of Evidence-Based Treatment in Community Mental Health Settings: Examining EBT Delivery Duration and Client Discharge
This report describes patterns of treatment duration and discharge among clinicians participating in a state-funded evidence-based treatment (EBT) training initiative. After training and consultation, clinicians (N = 376) reported on treatment duration and discharge for their “most complete case.” On average, clinicians delivered 12.4 sessions (SD = 5.1) of the treatment. After completing treatment, half of clinicians (58.7%) continued with regularly scheduled therapy, either using EBT elements or switching to supportive therapy. Clinicians who continued with regular ly scheduled therapy delivered treatment in approxim...
Source: The Journal of Behavioral Health Services and Research - October 1, 2021 Category: Psychiatry & Psychology Source Type: research

Family Medicine Physicians ’ Perspectives Regarding Rural Behavioral Health Care: Informing Ideas for Increasing Access to High-Quality Services
AbstractPrimary care settings often function as the front lines for behavioral health services in rural areas. The lack of formal behavioral health care in rural areas is also well documented. Rural family practice physicians were interviewed regarding the state of behavioral health care in their communities and their ideas for increasing access to quality care. Thirteen family practice physicians in rural locations participated in in-depth semi-structured interviews. Interviews were transcribed, coded, and analyzed following a phenomenological design. Physicians described a lack of quality behavioral health services and c...
Source: The Journal of Behavioral Health Services and Research - October 1, 2021 Category: Psychiatry & Psychology Source Type: research

Direct-Care Staff Perceptions of Patient Engagement and Treatment Planning in Detox
AbstractAs the prevalence of substance use disorders and drug-related deaths continue to rise, addiction treatment facilities are charged with providing effective and efficient services to curb the national substance use crisis. Direct-care staff in treatment service facilities play a crucial role in whether or not evidence-based practices are incorporated. Without their understanding and utilization of patient engagement best practices, an organization risks maintaining the status quo rather than actively pursuing improved outcomes through empirically supported approaches. Through in-depth interviews (N=13) with nurses, c...
Source: The Journal of Behavioral Health Services and Research - October 1, 2021 Category: Psychiatry & Psychology Source Type: research

Integrated Behavioral Health for Preschool Children in Pediatric Primary Care
AbstractBehavioral problems in preschool children have led to increased rates of expulsion and suspension from preschool. This case report describes the management of children aged 0 –5 with behavioral concerns in a pediatric practice. Identified children were referred to an integrated behavioral health provider who provided accessible evaluation and treatment to parents and children, as well as consultation to childcare providers. The report describes case examples of how the se services prevented adverse outcomes at the preschool age for three children. (Source: The Journal of Behavioral Health Services and Research)
Source: The Journal of Behavioral Health Services and Research - October 1, 2021 Category: Psychiatry & Psychology Source Type: research

Mental Health Care Costs Among Youth with Comorbid Mental Disorders
AbstractThis exploratory study described the distribution of mental health service costs in youth with mental disorder and determined if costs differed for youth with comorbid internalizing and externalizing disorder compared to those with comorbid internalizing disorders. Data come from youth (8 –17 years;n=75) receiving mental health services at a children ’s hospital in Canada. Billing amounts specified in the Health Insurance Act of Ontario were used to estimate costs. Overall, past-year service use costs were $7436.63. Hospitalizations represented the largest cost. Youth with comorbid internalizing and externalizi...
Source: The Journal of Behavioral Health Services and Research - October 1, 2021 Category: Psychiatry & Psychology Source Type: research